MANUEL VICENTE RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040064

License Status

NOT RENEWED

Business

First Name

MANUEL VICENTE

Last Name

RODRIGUEZ

Suffix

Business Name

MANUEL VICENTE RODRIGUEZ MD

Original Issue Date

08/31/1965

Effective Date

08/31/1965

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006